Migracija zaostalog metka iz lobanjske šupljine u spinalni kanal
Sažetak
Uvod. Migracija zaostalih metaka u intrakranijalnom prostoru je opisana u malom broju slučajeva. Najčešće, metak migrira i ostaje unutar lobanjske šupljine, ali, u veoma retkim slučajevima može dospeti i u spinalni kanal. Cilj rada je bio da se prikaže bolesnik sa ovim retkim kliničkim entitetom. Prikaz bolesnika. Muškarac star 29 godina je zadobio ustrelnu povredu glave kroz levi spoljašnji slušni kanal. Metak je bio lokalizovan u zadnjoj lobanjskoj jami. Učinjen je inicijalni debridman rane bez uklanjanja metka. Četiri meseca nakon povrede, bolesnik je osetio ukočenost vrata i slabost svih ekstremiteta zbog čega se javio lekaru. Radiografijom je pokazano da se metak nalazi u spinalnom kanalu na nivou C2 pršljena, a kompjuterizovanom tomografijom je potvrđena lokalizacija u posteriornom aspektu. Bolesnik je hitno operisan radi evakuacije metka i dekompresije kičmene moždine. Zaključak. Meci imaju tendenciju da se pomeraju. Migracija u spinalni kanal je retka i nosi značajan rizik zbog moguće sekundarne povrede. Uklanjanje metka po svaku cenu nije opravdano, ali predviđanje njegove migracije na osnovu predisponirajućih faktora bi bilo od velikog značaja za adekvatnije lečenje ovih bolesnika.
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